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Last comprehensive update completed on 16 June 2021
Guidelines and Consensus Statements
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Use of CGMS for Children and Adolescents with T1D at school and preschoolDeveloped by the APEG Diabetes Subcommittee, July 2019
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Screening, assessment and management of type 2 diabetes mellitus in children and adolescents: Australasian Paediatric Endocrine Group guidelinesMed J Aust 2020; 213 (1), July 2020
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Australian Living Evidence-Based Clinical Guidelines for DiabetesPublished 27 November 2020
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ADS/ADEA/APEG/ADIPS - Utilisation, access and recommendations regarding technologies for people living with type 1 diabetesAuthors: Anthony J Pease, Sofianos Andrikopoulos, Mary B Abraham, Maria E Craig, Brett Fenton, Jane Overland, Sarah price, David Simmons and Glynis P Ross
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Australian National Diabetes Strategy 2021-2030August 2021
Key Organisations
AUSTRALASIAN
INTERNATIONAL
Technology to Manage Diabetes
APEG only supports the use of TGA approved devices or devices that are being used as part of an approved ethical research study.
CGM and Freestyle Libre are funded in Australia through the NDSS. There are 2 choices on the market and should be considered carefully and in conjunction with the treating team.
DKA Protocols
It is advised to use the DKA protocol for your local tertiary referral centre.
AUSTRALASIA
- NSW
- QLD
- SA
- VIC
- WA
- Perth Children’s Hospital (not available on the internet, access via internal intranet only)
- New Zealand
GUIDELINES AND CONSENSUS STATEMENTS
All protocols have been based, in a large part, on the following guidelines and consensus statements.
Sick Day Management and Prevention of Severe DKA
If unwell, please refer to information provided by your local care team and if needed contact them for advice with regards to management during illness and particularly if ketones are present.
Helpful overview of sick day management can also be found in the ISPAD 2018 Clinical Practice Consensus Guidelines (Chapter 13) 2018
Mental Health, Emotional and Peer Support
Nutrition and Healthy Eating
AUSTRALASIAN
INTERNATIONAL
Complications: Screening and Dental Care
Living with Diabetes
Research
Diabetes in School
Children and young people with diabetes have the fundamental right and should be given the opportunity to participate in and enjoy a normal school experience in a safe and inclusive environment. They must be able to enjoy the same level of education opportunities and participation in school activities, including excursions, camps, sport and physical education as other children, free from any diabetes-related stigma.
The recently launched Diabetes in Schools program, funded by the Australian Government through the National Diabetes Services Scheme, has been established to provide families and school staff the education and support they need to help young people with type 1 diabetes to thrive at school. This national program has been developed in conjunction with Diabetes Australia (DA), the Australian Diabetes Educators Association (ADEA), the Juvenile Diabetes Research Foundation (JDRF) Australia, the Australian Diabetes Society (ADS) and the Australasian Paediatric Endocrine Group (APEG).
In conjunction with this national program, information and advice about the support of young people with diabetes in schools and preschools should be obtained from the relevant state or territory’s department of education and/or local diabetes organisations and paediatric diabetes treating centres.
A starting list of helpful contacts and resources on this topic can be found below:
NSW & ACT
Qld
SA
Vic
WA
New Zealand
Tests
- Australia
- New Zealand
- Gene tests for MODY are available from NZSSD (Mody Calculator)
Young Adults
Diabeted and Covid
Currently in Australia the COVID-19 pandemic and Vaccination is a rapidly changing issue. Restrictions are different in each state but seeking medical assistance and care is allowed in every jurisdiction. Please seek medical help if you or your child need assistance.
Vaccine eligibility is also rapidly changing and will depend on where people live, but Type 1 Diabetes is considered a longterm condition for which vaccination is recommended and meets eligibility criteria for a prioritised vaccination compared with the general population. Vaccination is being facilitated by the Federal and State Governments through GPs and dedicated Vaccination Hubs. Please look at on line resources to determine eligibility and where vaccination can be done.
